JUDO AFRICA
 

   
JUDO AFRICA

la medecine Du JUDO


1.  Scand J Med Sci Sports 2000 Oct;10(5):292-7
2.  Ital J Neurol Sci 1998 Dec;19(6):367-72
3.  Br Dent J 2000 May 13;188(9):473-4
4.  Int J Sports Med 2000 Apr;21(3):175-9
5.  Br J Sports Med 2000 Feb;34(1):23-8
6.  Chir Narzadow Ruchu Ortop Pol 1998;63(4):321-7
7.  Med Sci Sports Exerc 1998 Sep;30(9):1356-62
8.  J Am Podiatr Med Assoc 1998 Jun;88(6):268-78
9.  Scand J Med Sci Sports 1998 Apr;8(2):116-9
10. Rehabilitation (Stuttg) 1998 Feb;37(1):36-43
11. Z Rheumatol 1997 Dec;56(6):342-50
12. Br J Sports Med 1997 Dec;31(4):346-7
13. J Am Osteopath Assoc 1997 Apr;97(4):221-6
14. Br J Sports Med 1996 Mar;30(1):72-4
15. J Clin Endocrinol Metab 1995 Dec;80(12):3639-46
16. Neuropediatrics 1994 Apr;25(2):106-8
17. Kinderarztl Prax 1993 Oct;61(7-8):264-8
18. Br J Sports Med 1993 Jun;27(2):110-2
19. J Sports Med Phys Fitness 1992 Jun;32(2):214-20
20. J Sports Med Phys Fitness 1991 Dec;31(4):627-8
21. J Sports Med Phys Fitness 1991 Dec;31(4):605-10
22. Acta Orthop Belg 1991;57(4):442-6
23. Acta Orthop Belg 1990;56(3-4):625-7

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Scand J Med Sci Sports 2000 Oct;10(5):292-7

Influence of trauma induced by judo practice on postural control.

Perrot C, Mur JM, Mainard D, Barrault D, Perrin PP.

Equilibration et Performance Motrice, UFR STAPS, University Henri Poincare-Nancy 1,
Villers-les-Nancy, France.

Although high-level sports develop specific physiological and sensorimotor abilities involved in balance control, they also increase the risk of injuries. The influence on postural control of lower limb trauma induced by judo practice was examined in healthy and previously injured judoists (PIJ). During static and dynamic tests, performed with or without vision, PIJ achieved the best
performances in maintaining proper balance, except for those with the most severe antecedents of trauma. The severity of the pathology appeared to be the most important parameter prejudicial to balance control while the location, frequency and diversity of trauma had only a modest impact. This shows that PIJ develop excellent sensory and cognitive adaptation abilities to constraints
involving new patterns of compensation and of body scheme.

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Ital J Neurol Sci 1998 Dec;19(6):367-72

Long-term effects of boxing and judo-choking techniques on brain function.

Rodriguez G, Vitali P, Nobili F.

Department of Internal Medicine, University of Genova, Italy.

Regional cerebral blood flow (rCBF) was measured by 133-xenon inhalation in 24 amateur and 20 professional boxers, and in 10 judoka. Results were compared with those from age- and sex-matched healthy controls. Eighteen boxers (9 amateurs and 9 professionals) and all judoka also underwent electroencephalography (EEG). Mean rCBF values did not differ between either
amateur boxers orjudoka and controls, whereas in professional boxers rCBF was significantly (p<.001) reduced in the whole brain, especially in the frontocentral regions. Healthy subjects, judoka, and amateur boxers showed a similar distribution of global CBF (gCBF, the mean of 32 probes) values, although 12.5% of amateurs had a significantly lower gCBF than controls. Among professional boxers, 25% showed a significantly low gCBF value; in the remaining 75%,
gCBF was below the mean value of controls but did not reach statistical significance. Regional hypoperfusion, mainly in the frontocentral regions of both sides, was found in 35% of professional and in 29% of amateur boxers. A correlation between gCBF values and number of official matches was not found in boxers. EEG was normal in all judoka and amateur boxers, but it was
abnormal in 3 professionals. This study shows the relevance of the neurophysiological assessment
of athletes engaged in violent sports which can cause brain impairment. In fact, while professional boxers may show brain functional impairment in comparison to normal subjects, judoka do not.
The lack of correlation between CBF values in boxers and the number of official matches points to the difficulty of taking into account variables, such as the number and the severity of matches during training.

Br Dent J 2000 May 13;188(9):473-4

Mouth protection in sport in Scotland--a review.

Holmes C.

Centre for Dental Education, University of Edinburgh.

The oral health strategy for Scotland, which was published in 1995, recommends that dentists promote the use of mouth protection in sport to reduce the risk of injury. There is compulsory mouthguard use in some sports including ice-hockey, fencing, boxing, lacrosse and some forms of autocycling. In cricket, face protection appears to be compulsory for batsmen only. The use of mouth protection in the martial arts is compulsory at international level but, in the UK, the rule
does not seem to be always enforced at club level. Players of contact sports, such as rugby and hockey, are considered to be more at risk of dentoalveolar injury and the governing bodies of these sports recommend that players at all levels wear mouth protection but have not made it mandatory.

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Int J Sports Med 2000 Apr;21(3):175-9

The effects of physical exercise on the concentrations of ferritin and transferrin receptor in plasma of female judoists.

Malczewska J, Blach W, Stupnicki R.

Department of Nutrition Physiology, Institute of Sport, Warsaw, Poland. insp@insp.waw.pl

The aim of the study was to assess the effect of physical exercise on the changes in
concentrations of ferritin and soluble transferrin receptor (sTfR) in plasma in course of 10 consecutive days of a training camp. Ten female elite judoists, aged 17-23 years, participated in the study. Mean concentration of ferritin for the 10 day period was 62.8 x 1.633(+/-1) microg/l, the within-subject, day-to-day variability being very high (13-75%). Ferritin concentrations were
significantly correlated with the training load on the preceding day (r = 0.397; p < 0.001). Mean level of sTfR was 2.56 x 1.291(+/-1) mg/l and its within-subject variability was much lower (4-16%). Although the training loads had an effect on the intravascular hemolysis as indicated by a significant, negative correlation between load scores and haptoglobin concentration (r = -0.282; p < 0.01), the latter was not correlated significantly with sTfR levels. It was concluded that the
soluble transferrin receptor is a more stable indicator of iron status under high training loads since, unlike ferritin, it does not respond to the workload on the preceding day. Moreover, the intravascular hemolysis observed in athletes does not affect the sTfR levels in plasma.

Br J Sports Med 2000 Feb;34(1):23-8

Neutrophil function response to aerobic and anaerobic exercise in female judoka and untrained subjects.

Wolach B, Falk B, Gavrieli R, Kodesh E, Eliakim A.

Department of Pediatrics, Meir General Hospital, Kfar Saba, Israel.

OBJECTIVES: Recent studies have indicated reduced immunity in trained athletes. AIM: To assess the effects of aerobic and anaerobic exercise on the phagocytic process in 18-26 year old trained female judoka (n = 8) and untrained controls (n = 7). METHODS: Each subject participated randomly in two different testing sessions (aerobic, 20 minutes of treadmill running at 70-80% of maximal heart rate; anaerobic, Wingate anaerobic test). Venous blood samples were drawn before, immediately after, and 24 hours after each session. RESULTS: There were no significant differences in basal values of net chemotaxis (chemotaxis--random migration), bactericidal activity, and superoxide anion release between the judoka and the untrained women.
There was a significant decrease in net chemotaxis 24 hours after the aerobic exercise in both the judoka (from 64 (19) to 39 (13) cells/field, p < 0.02) and the untrained controls (from 60 (7) to 47 (12) cells/field, p < 0.05). Bactericidal activity and superoxide anion release did not change significantly after aerobic exercise in either group. There were no significant changes in net
chemotaxis, bactericidal activity, and superoxide anion release after anaerobic exercise in either the judoka or untrained women. CONCLUSIONS: The decrease in net chemotaxis after aerobic, but not after anaerobic, exercise, suggests that net chemotaxis is affected by the combination of exercise intensity and duration, and not by the exercise intensity itself. Similar effects of both exercise sessions in the judoka and the untrained women suggest that training had no effect on neutrophil function response to aerobic and anaerobic exercises.

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Chir Narzadow Ruchu Ortop Pol 1998;63(4):321-7

[Nonoperative treatment of acute, grade III acromioclavicular dislocation
in judo competing athletes]

[Article in Polish]

Zarzycki W, Lorczynski A, Ziolkowski W.

Katedra i Klinika Ortopedii, Akademia Medyczna w Gdansku.

Complete acromioclavicular separation is frequent injury during practice of judo. Fourteen athletes aged 17-33 (mean 23) were treated non-operatively. All patients received cryotherapy and Velpeau bandage for two weeks, intensive rehabilitation of the shoulder followed. The patients were reviewed after mean 4.5 years (range 3-7 years). A 100-point scale designed specifically for this study, inclusive of pain, function, strength, range of motion and return to preinjury level of sports activity was used for clinical assessment. Follow-up radiographs were compared to those taken immediately after injury but no correlation with clinical results has been
found. Eight results were rated excellent (90-100 points), 5 results good (80-89 points) and one result was fair (70-79 points). Short period of immobilization and early rehabilitation seems to be efficient management in highly active individuals.

Med Sci Sports Exerc 1998 Sep;30(9):1356-62

Spectral analysis of electroencephalography changes after choking in judo
(juji-jime).

Rau R, Raschka C, Brunner K, Banzer W.

Department of Sports Medicine, Institute of Sports Sciences of the Johann Wolfgang Goethe
University, Frankfurt/Main, Germany.

PURPOSE: The present study was carried out to investigate possible electroencephalographic changes induced by choking in judo (shime-waza) by means of spectral analysis and brain mapping. METHODS: Power spectral changes in Electroencephalography (EEG) were recorded in six experienced judoka who underwent a choking trial with a "shime-waza choking" technique
called juji-jime. RESULTS: A significant increase of global field power in the delta- and theta-range occurred, while physiological alpha-power decreased. These changes in the low-frequency range reached a statistically significant level within a time span up to 20 s after choking, which was performed at an average choking time of 8 s. In no case did choking provoke neuropsychological symptoms. Yet, spectral EEG-analysis revealed subclinical changes of brain function. CONCLUSIONS: Choking in judo may induce subclinical electroencephalographic perturbations. The extent and duration can be objectified by means of spectral analysis of EEG data, global field power computation, and brain-mapping representation.

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J Am Podiatr Med Assoc 1998 Jun;88(6):268-78

Foot and ankle injuries among martial artists. Results of a survey.

Burks JB, Satterfield K.

Winona Memorial Hospital, Indianapolis, IN 46280, USA.

The practice of the martial arts is associated with a variety of lower-extremity injuries. Previous studies of the martial arts have examined injuries to the entire body, while providing only limited information on trauma to the foot and ankle. After a comprehensive review of the literature on martial arts injuries, the authors report the results of a survey on foot and ankle injuries sustained by martial arts practitioners.

Scand J Med Sci Sports 1998 Apr;8(2):116-9

A study of sports-related mandibular angle fracture: relation to the
position of the third molars.

Yamada T, Sawaki Y, Tohnai I, Takeuchi M, Ueda M.

Department of Oral Surgery, Nagoya University School of Medicine, Japan.

Mandibular angle fractures have been considered attributable to the presence of unerupted third molars. We examined the relationship between the incidence of sports-related mandibular angle fractures and the presence of a mandibular third molar with emphasis on the position of the third molar. The incidence of angle fracture was significantly higher in the sports-related injury group than in the group with fracture due to other causes (P < 0.05). The incidence of angle fracture in the athletes with higher impaction scores was significantly higher than that in the subjects with higher scores who did not have sports-related fractures (P < 0.05). The percentage of rugby athletes with third molars was significantly higher than that of those without third molars (P <0.001), and a high proportion of young athletes (89.5%) was considered to belong to a potential high-risk group for angle fractures. Our findings suggest that mandibular angle fractures are influenced by the presence and characteristics of the third molar in sports-related injuries.

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Rehabilitation (Stuttg) 1998 Feb;37(1):36-43

[Experiences and effects with 6 years of judo training in ambulatory
rehabilitation of bronchial asthma in childhood]

[Article in German]

Kriegel VG.

Otto-von-Guericke-Universitat Magdeburg Institut fur Erziehungswissenschaft, Magdeburg.

In view of backing up the potential for as normal a life as possible in the presence of chronic obstructive respiratory disease, quality rehabilitation concepts have for some ten years been discussed which recommend satisfactory levels of motor activity in particular during childhood and youth as a factor in stabilizing long-term health. A difficult prerequisite in this respect is choosing a sport adapted to the child's age and condition as well as providing adequate motivation, along with awareness of exercise- and training-induced stress and strain reactions.
Several years of experience with Judo have shown that, in an ambulatory rehabilitation setting, the needs of schoolchildren with bronchial asthma too, may be answered by this competitive sport provided that several didactic and methodological premises are heeded. In light of its holistic educational approach and intermittent stress and strain profile, Judo is cut out for facilitating
integration in the social community, hence contributing toward valuable personality characteristics and growth in a rehabilitative context in the face of the long-term course of the illness.

Z Rheumatol 1997 Dec;56(6):342-50

[Traumatic finger polyarthrosis in judo athletes: a follow-up study]

[Article in German]

Strasser P, Hauser M, Hauselmann HJ, Michel BA, Frei A, Stucki G.

Rheumaklinik, Universitatsspital, Zurich.

Osteoarthritis is the most common joint disease. In addition to known risk factors e.g. genetics,
age and hormonal status it has been suggested that chronic-repetitive micro- and substantial (macro-) injury may play an important pathogenetic role. In a longitudinal case-study we examined Judo-players for clinical and radiological changes of the finger joints over the course of 16 years. All examined 8 players demonstrated soft tissue changes including Heberden nodes and radiological changes typical for osteoarthritis of the finger joints. Changes were symmetrical and were not restricted to joints with tendon ruptures or fractures in the anamnesis. Degenerative changes were progressive and more pronounced in active players. Subjectively, symptoms were usually mild. Extensive Judo seems to be a risk factor for the development of osteoarthritis of the finger joints due to chronic-repetitive micro- and substantial (macro-) injury.

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Br J Sports Med 1997 Dec;31(4):346-7

Stroke without dissection from a neck holding manoeuvre in martial arts.

McCarron MO, Patterson J, Duncan R.

Department of Neurology, Southern General Hospital, Glasgow.

Carotid artery trauma is a known cause of stroke in young people. The vessel may occlude, dissect or shower thrombotic emboli into intracranial vessels. This paper reports the use of single photon emission computed tomography (SPECT) imaging in a 29 year old man who developed an embolic stroke after neck holding manoeuvres at a martial arts class. Awareness of the potential consequences of these procedures is matched by the need for rapid and accurate diagnosis of stroke now that thrombolytic and neuroprotective treatments are emerging, which
are effective only within a short time window.

J Am Osteopath Assoc 1997 Apr;97(4):221-6

Martial arts injuries.

Wilkerson LA.

Center for Sports Medicine, Orthopaedics, and Family Practice, Kissimmee, Fla, USA.

In the United States, approximately 1.5 million to 2 million persons practice the martial arts. It is the general belief that martial arts are safe, with little thought given to the physical forces involved. Some enthusiasts gravitate to the martial arts to learn self-defense, whereas others participate to improve cardiovascular fitness, flexibility, and self-esteem. Some join for the structured exercise programs, whereas others desire the artistic expression or have a need to compete. Injuries
involve the head and neck region, trunk, and extremities. Soft tissue trauma, hematomas, and lacerations are some of the most common injuries. Occasionally fractures occur, most often involving the hands and digits. The neurosurgical literature indicates that wearing headgear increases the shearing injury to nerve fibers and neurons in the brain in proportion to the degree of acceleration to the head. Three case presentations illustrate death resulting from anterior chest
trauma.

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Br J Sports Med 1996 Mar;30(1):72-4

Complete avulsion of the hamstring tendons from the ischial tuberosity. A
report of two cases sustained in judo.

Kurosawa H, Nakasita K, Nakasita H, Sasaki S, Takeda S.

Sapporo Seikeigeka-Junkankika Hospital, Japan.

Rupture of the hamstring tendon is a rare injury. Two cases of complete rupture of the hamstring tendons sustained while playing judo are reported. The diagnosis of a rupture of the hamstring tendons was difficult from physical examination because of severe pain on knee or hip joint movement. Magnetic resonance imaging was non-invasive and showed the lesion clearly. In one of these two cases the less satisfactory results of non-operative treatment were clearly shown in
both isokinetic muscle force evaluation and sports activities.

Acute injuries in soccer, ice hockey, volleyball, basketball, judo, and
karate: analysis of national registry data.

Kujala UM, Taimela S, Antti-Poika I, Orava S, Tuominen R, Myllynen P.

Unit for Sports and Exercise Medicine, University of Helsinki, Finland.

OBJECTIVE--To determine the acute injury profile in each of six sports and compare the injury rates between the sports. DESIGN--Analysis of national sports injury insurance registry data.
SETTING--Finland during 1987-91. SUBJECTS--621,691 person years of exposure among participants in soccer, ice hockey, volleyball, basketball, judo, or karate. MAIN OUTCOME
MEASURES--Acute sports injuries requiring medical treatment and reported to the insurance company on structured forms by the patients and their doctors. RESULTS--54,186 sports injuries were recorded. Injury rates were low in athletes aged under 15, while 20-24 year olds had the highest rates. Differences in injury rates between the sports were minor in this adult age group. Overall injury rates were higher in sports entailing more frequent and powerful body contact. Each sport had a specific injury profile. Fractures and dental injuries were most common in ice hockey and karate and least frequent in volleyball. Knee injuries were the most common cause of permanent disability. CONCLUSIONS--Based on the defined injury profiles in the different sports it is recommended that sports specific preventive measures should be employed to decrease the number of violent contacts between athletes, including improved game rules supported by careful refereeing. To prevent dental injuries the wearing of mouth guards should be encouraged, especially in ice hockey, karate, and basketball.

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J Clin Endocrinol Metab 1995 Dec;80(12):3639-46

Hypoestrogenemia and rhabdomyelysis (myoglobinuria) in the female
judoist: a new worrying phenomenon?

De Cree C, Lewin R, Barros A.

Department of Applied and Experimental Reproductive Endocrinology, Institute for Gyneco-Endocrinological Research, Leuven, Belgium.

It is now well established that strenuous engagement in aerobic endurance sports may cause menstrual problems and hypoestrogenemia-related phenomena, such as osteoporosis. The present study was designed to assess whether the competitive practice of female judoists produces specific physiological changes in menstruation and bone and muscle metabolism. A test group of 17 white female judoists (mean VO2max, 50.9 +/- 2.8 mL/kg.min; mean percent body
fat, 16.3 +/- 3.3%), a reference group of oarswomen, and a group of sedentary women participated in this study. Specific metabolic parameters were determined before and after a heavy 5-week pre-Olympic training period. With regard to anthropometrical characteristics, after a period of intensive training, female judoists significantly differed (P < 0.05) from their pretraining values for percent body fat (-2.2%) and number of oligomenorrheic individuals (+28.4%). Mean
baseline posttraining luteal phase plasma levels of estrone (78 +/- 26 pmol/L), estradiol (85 +/- 70 pmol/L), LH (7.6 +/- 2.8 IU/L), and progesterone (13.4 +/- 3.1 nmol/L) were significantly lower than those in both reference groups, although pretraining values did not significantly differ from those in a group of oarswomen. Luteal phase posttraining urinary parameters of muscular catabolism (3-methylhistidine, 367 +/- 30 mmol/day) and collagen turnover (hydroxyproline, 678 +/- 14 mumol/L) were significantly higher than those in a group of oarswomen (3- methylhistidine, 183 +/- 18 mmol/day; hydroxyproline, 196 +/- 21 micrograms/mL). Total plasma spontaneous monocyte interleukin-1 activity, an experimental parameter for bone turnover and formation, was significantly higher (P < 0.05) in both female judoists (15.8 +/- 3.0% max) and oarswomen (7.1 +/- 1.8% max) than in sedentary women (5.2 +/- 2.2% max). These findings were accompanied by a subjective feeling of musculotendinous soreness and fatigue. Posttraining values for blood diagnostic enzymes, such as creatinine phosphokinase, glutamic oxalacetic transaminase, lactic dehydrogenase, and uric acid exceeded 2-5 times maximal normal laboratory reference values. We believe that these overtraining-like findings should be further examined to study the eventual causal relationship between hypoestrogenemia and rhabdomyelysis (myoglobinuria) and to fully understand the extent of these results and their importance to the female athlete's health.

Neuropediatrics 1994 Apr;25(2):106-8

Vertebral-artery dissection following a judo session: a case report.

Lannuzel A, Moulin T, Amsallem D, Galmiche J, Rumbach L.

Service de Neurologie, CHU Jean Minjoz, Besancon, France.

A few days after a judo session, an 11-year-old boy presented with an ischemic stroke with dizziness, aphasia and ataxia. CCT scan revealed a left thalamic infarct. Angiography showed a fibromuscular dysplasia (FMD) of the left vertebral artery probably complicated by dissection.
Subsequent evolution was favorable. This observation points out the fact that the association of a cervical pain with neurological signs of vertebrobasilar stroke, especially occurring after a cervical trauma or rotatory motion, should alert to the possibility of vertebral-artery dissection. The diagnosis is mainly based on angiographic criteria. Accurate diagnosis has implications for prognosis and probably for acute medical treatment.

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Kinderarztl Prax 1993 Oct;61(7-8):264-8

[Judo in a training group for children with asthma]

[Article in German]

Huhnerbein J, Achtzehn R, Kriegel V.

Klinik fur Kinderheilkunde, Medizinischen Akademie Magdeburg.

15 asthmatics of 7-14 years of age were trained in a special judo training group together with healthy children. The step-like training programme was composed in such a manner that an exercise-induced bronchospasm was kept as low as possible whereas the coordination, flexibility, physical and psychical resistance were improved. By means of adapted lung function tests the children were controlled, the aim was not so much to prove an improvement of functional values but rather to avoid injuries. Reactions confirmed by means of the sensitive
flow-volume curve method did not present any clinical problems. Exercise-induced reactions occurred most frequently, if at all, after a warming-up phase and in the middle of the 14 training weeks. Both at the end of every lesson and at the end of the whole training course the number and internity of reactions decreased. Children suffering from exercise-induced asthma could be trained by means of judo sport without any problems. A combatant sport, such as judo, is particularly qualified for the improvement of motivation, coordination, dexterity and integration into the community of healthy children to increase self-confidence. Asthma sport groups are a medical and paedagogical necessity.

Br J Sports Med 1993 Jun;27(2):110-2

Effectiveness of functional ankle taping for judo athletes: a comparison
between judo bandaging and taping.

Yamamoto T, Kigawa A, Xu T.

Department of Sports Medicine, International Budo University, Japan.

This study was conducted to compare the effectiveness of the traditional method of ankle bandaging and the new method of ankle taping for judo athletes in Japan, and to introduce a functionally effective taping method for judo players. Four university judo athletes with ankle instability were selected to undertake radiography of the ankles before and after exercise, with bandaging at one time and taping at the other. Talar tilt (TT) angles were measured in order to
compare the ankle-supporting effects. The results showed that the old ankle bandaging method had no role in eliminating the talar tilt during judo practice. In contrast, the new taping method was more effective in eliminating the talar tilt and supporting the involved ankles both mechanically and functionally.

PMID: 8358580 [PubMed - indexed for MEDLINE]

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J Sports Med Phys Fitness 1992 Jun;32(2):214-20

Trends in sports injuries, 1982-1988: an in-depth study on four types of
sport.

Tenvergert EM, Ten Duis HJ, Klasen HJ.

Department of Traumatology, University Hospital of Groningen, The Netherlands.

In this study, we analyzed the records of both inpatients and outpatients which were treated for acute sports injuries in the Trauma Department of the University of Groningen (The Netherlands)
during the years 1982 to 1988. We examined whether there was a trend in sports injuries in this time period. The study comprised four types of sports, i.e., soccer, volleyball, gymnastics, and martial arts. The absolutely highest rates of injuries across the seven years were found in soccer, followed by gymnastics, volleyball, and martial arts. Injuries sustained at participating in soccer, volleyball, and gymnastics involved for the major part the lower extremities, followed by injuries
of the upper extremities, whereas the reverse pattern was observed for patients who participated in martial arts. For all four types of sport, the ankle and foot were the most frequently site of injury of the lower extremities. Sprains and strains were the major types of injury. Most injuries were seen at ages between 10 and 30 years. The ratio of male to female patients within age groups did not differ significantly across the seven years. We concluded that, except for martial
arts, the increased participation in sports in the last decade was not accompanied with a change in the patterns of sports injuries by the patients' age, sex, and number and nature of the injury.
This consistency in results can be used to guide the development of prevention programs aimed at
a reduction of injuries in specific sports.

J Sports Med Phys Fitness 1991 Dec;31(4):627-8

Judo as a possible cause of anoxic brain damage. A case report.

Owens RG, Ghadiali EJ.

Sub-Department of Clinical Psychology, University of Liverpool, England.

The rules of judo provide for strangulation techniques in which the blood supply to the brain is blocked by pressure on the carotid arteries; such techniques produce anoxia and possible unconsciousness if the victim fails to submit. A case is presented of a patient with signs of anoxic brain damage, with psychometric investigation showing memory disturbance consistent with a left temporal lobe lesion. This patient had been frequently strangled during his career as a judo
player; it is suggested that such frequent strangulation was the cause of the damage. Such an observation indicates the need for caution in the use of such techniques.

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J Sports Med Phys Fitness 1991 Dec;31(4):605-10

Judo and choking: EEG and regional cerebral blood flow findings.

Rodriguez G, Francione S, Gardella M, Marenco S, Nobili F, Novellone G, Reggiani E,
Rosadini G.

Institute of Neurophysiopathology, University of Genoa, Italy.

Ten judoka were examined at rest by EEG and regional Cerebral Blood Flow (rCBF) (133-Xenon inhalation method); in seven of them a syncope was induced by choking and EEG was recorded during the loss of consciousness while rCBF was measured immediately after recovery. Baseline EEG and rCBF examinations were normal. During choking, EEG showed diffuse 2-3 Hz. high voltage waves, predominantly in the anterior regions, then the EEG gradually recovered to normal. After choking, rCBF decreased in all but one subject, slightly in four and
more markedly in two. Our findings suggest that there is no evidence of permanent CNS functional changes due to judo practice and choking. The variable rCBF features soon after choking-induced syncope may reflect a different timing of recovery from cerebral ischemia for each subject.

Acta Orthop Belg 1991;57(4):442-6

Dorsal dislocation of the distal end of the ulna in a judo player.

Russo MT, Maffulli N.

Hospital S. Maria della Misericordia, Department of Orthopaedics, Sorrento, Italy.

A 32-year-old policeman injured his left wrist while engaged in judo training. A distal radio-ulnar dislocation, ulna dorsal, was reduced under general anesthesia, but, as the distal radio-ulnar joint was unstable, a Liebolt's ligamentous reconstruction procedure and a partial excision of the triangular fibrocartilage complex were carried out. The patient could resume his job eight weeks
after the operation, and light training after a further six months. The need for proper physical examination and accurate radiographic positioning is stressed.

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Acta Orthop Belg 1990;56(3-4):625-7

Damage of the long thoracic and dorsal scapular nerve after traumatic
shoulder dislocation: case report and review of the literature.

Jerosch J, Castro WH, Geske B.

Orthopedic Department, Heinrich-Heine University, Dusseldorf, Germany.

A judo injury resulted in an anterior shoulder dislocation with a concomitant lesion of the long thoracic and the dorsal scapula nerve. This injury led to loss of function and extreme instability of the shoulder. Stabilization of the glenohumeral joint was successfully accomplished by surgery.

The athlete declined further operative approaches to stabilize the scapula. The patient was able to return to the former level of athletic activity.

A study in tearing of Achilles’ tendon occurring during judo practice

Hiroyuki Mitsuhashi (*), Noboru Hashimoto (**), Tetsuo Kudo (**),
Tadashige Tomita(*)
(*Japanese society of judo Therapy) (**Tokyo Metropolitan Judo Sekkotsushi-kai Inc)

Abstract

I. Objective
Currently, the surrounding situation with judo has been experiencing transformation in various aspects. They lie in facilities and rules corresponding to the improvement in athletes’ physical strength as seen in other sports. At the same time, it should be stressed that tremendous transformation has been found in injuries occurring during practice.
Among all the injuries occurring during judo practice, we can identify tearing of the muscles in lower-thigh, calf, and abdominal muscles and tearing of the Achilles’ tendon, as major injuries especially in lower-thigh area. Most of these injuries are said to occur by switching in forward-back directional movement as well as excess practice, lack of conditioning, lower-leg malalignment, and taking a bad form. However, in addition, tatami at practicing facilities or condition of the floor is considered to have significant association with the injuries. Thus, we examined the injuries in lower thigh area occurring during judo practice, especially that of tearing of the Achilles’ tendon. As a result, we found that different from other sports, during judo exercise, injuries in transitional part from the Achilles’ tendon to muscle tendon (upper part) occur more frequently than injuries in contracting part of the Achilles’ tendon (center), which occur more frequently during other sports practice. Therefore, we investigated the association between particularity of judo exercise and the upper Achilles’ tendon injury, and introduce its treatment by the judo arrange-recovery technique.

II. Method
1. Peripheral information at injury occurrence
Age, length of practice, frequency of practice, situation at injury, and time it took before occurring.
2. Condition of facilities
The condition of the floor and tatami at the exercising facilities.
3. Comparison with injury area
Using the examination of the injury, compare the areas of tendon torn and damaged occurring during judo practice and those occurring during other sports, and investigate the distinctive causing factors during the judo practices.
4. The treatment for early recovery
Comparison in different treatment techniques and progress

III. Summary
The occurrence of tearing of the Achilles’ tendon in general sport practice is significantly affected by the basic movement: running and jumping. However, during judo practice, it should be stressed that the weight on a pivot foot, the malalignment of the supporting lower-leg, and unexpected external force affect on the injuries. In order to promote prevalence of judo as a life long exercising sport, it is extremely important that not only instructors but also participants obtain knowledge of injuries and that understanding should lead us to prevent the occurrence of injuries.

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L'union Africaine de Judo - Secrétariat général de la F.I.J - Médecine de Judo
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